Shahla Alyse Bolbolan, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A90021 Issued in CA

Practice address

33 Haight St Apt 3
San Francisco, CA 94102-5867

Phone

(312) 342-5262

NPI assigned

Feb 27, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

University of Chicago, Pritzker School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Care Associates Medical Group, IncGroup PAC ID 1850334384, 108 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sbolbolan45687@hisp.ehr.sutterhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anesthesia Care Associates Medical Group Inc

  • Anesthesiology Physician
  • Burlingame, CA
  • NPI 1215985023
  Medicare reassignment Care Compare group NPD
• Mills-Peninsula Health Services

  • General Acute Care Hospital
  • Burlingame, CA
  • NPI 1518937051
  NPD (past)
• Northern California Anesthesia

  • Anesthesiology Physician
  • San Francisco, CA
  • NPI 1871541649
  NPD (past)
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Burlingame, CA
  • NPI 1043670334
  NPD (past)
• Sutter East Bay Medical Foundation

  • Family Medicine Physician
  • Orinda, CA
  • NPI 1871538769
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1992832232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 HAIGHT ST APT 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 HAIGHT ST APT 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025867",
            "telephone_number": "312-342-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLBOLAN",
        "first_name": "SHAHLA",
        "middle_name": "ALYSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A90021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth J. Bokser, M.D.
• Guus Martinus Bol, MD, PHD
• Angela Boland, M.A.E., PPS
• Holly Noelle Boland, L.AC.
• Madison Boland, ACSW
• Maisha Bolden
• Nyokia Bolden, RADT-I
• Boldly Communicating Aac, Speech, & Language Therapy Inc.
• Irene Bolds Hatten
• Abner Boles, PH.D.

• Anesthesiology Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.